You are counseling a client who was just diagnosed at 29 weeks gestational age of having gestational diabetes (GDM) after completing her 3 hour glucose tolerance test. Which statement regarding GDM by the client is false and indicates additional Counseling is required?

I need to start an American Diabetic Association (ADA) diet“

l am at higher risk for a cesarean section delivery

I am worried about getting diabetes later in life!

"My baby is more at risk for cardiac defects”

Answer and Explanation

The Correct Answer is D

While gestational diabetes (GDM) can increase the risk of certain complications for the baby, such as macrosomia (large baby) and hypoglycemia after birth, there is no known increased risk for cardiac defects specifically. The other statements are accurate and appropriate for a client newly diagnosed with GDM.

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Correct Answer is C

Explanation

A CS4 who has had three prior lower transverse cesarean sections is at the highest risk for uterine rupture. The risk of uterine rupture increases with each subsequent cesarean section, and a history of three or more prior lower transverse cesarean sections is considered a significant risk factor for uterine rupture.

A. "My provider will not perform any vaginal exams or vaginal ultrasounds. B. I still have the opportunity to labor and delivery my baby vaginally." C. 'Biophysical profiles will become important to monitor my baby. D. "At this point, I will not need betamethasone to mature my baby's lungs."

Correct Answer is B

Explanation

Placenta previa is a condition where the placenta implants low in the uterus, covering part or all of the cervix. This can cause bleeding and can be dangerous for both the mother and the baby. In cases of placenta previa, a cesarean delivery is necessary to avoid complications. Therefore, it is not safe for the patient to deliver vaginally.

Betamethasone is indicated in delivery anticipated before 34 weeks gestation. Vaginal exams may cause more bleeding in the event of placenta previa.

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You are counseling a client who was just diagnosed at 29 weeks gestational age of having gestational diabetes (GDM) after completing her 3 hour glucose tolerance test. Which statement regarding GDM by the client is false and indicates additional Counseling is required?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following patients is most at risk for uterine rupture?

Correct Answer is C

Explanation

The nurse is providing education for a patient who has been newly diagnosed with a placenta previa at 37 weeks' gestation. The nurse understands that teaching has not been effective when the patient states:

Correct Answer is B

Explanation

A 25-year-old woman with Type II Diabetes Mellitus should be educated on all the following regarding preconception care, except:

A nurse is developing goals for a community education program. Which of the following methods should be used?

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